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HCV Reinfections Among MSM - Triple Reinfections Reported in 1 Study
  Hepatitis C Re-infection Among HIV+ MSM in London & Prisoners in Spain.....http://www.natap.org/2013/IAS/IAS_101.htm
HCV reinfection incidence and treatment outcome among HIV-positive MSM in London....."As many as 25% of individuals treated for HCV will become reinfected within 2 years".......http://www.natap.org/2013/HCV/061713_01.htm
Acute hepatitis C infection in HIV-negative men who have sex with men [in London].....low HCV screening rate - (06/15/15)
Acute hepatitis C infection in HIV-negative men who have sex with men [in London].....low HCV screening rate
We have highlighted a low rate of HCV screening for at risk MSM
.....We are concerned for un-diagnosed HCV infection and subsequent risk of onward transmission
14 (31.8)% had unprotected sex whilst under the influence of recreational drugs. 29 individuals were aware of a partner's status
13 (29.5%) individuals had a coexisting STI at the time of acute HCV diagnosis.
16 (36.4%) reported nasal use and 9 (20.5%) reported injection drug use. Drugs used included cocaine, ketamine, gamma hydroxybutyrate, mephedrone and crystal methamphetamine. 14 (31.8%) had unprotected sex whilst under the influence of recreational drugs ('chem sex')
Forty-one (93.2%) individuals reported unprotected anal sex.
Of these, 36 (87.8%) reported both insertive and receptive intercourse, 4 (9.8%) exclusively receptive intercourse, 1 (2.4%) exclusively insertive intercourse, and no data were recorded for 3 (7.3%) patients.
There was an average of 7.3 reported partners per individual (median 2, range 1-100).
Twelve (27.3%) engaged in group sex, 21 (47.7%) did not engage in group sex, and no data were available for 11 (25.0%) individuals. 11 (25.0%) practised fisting, 24 (54.9%) did not practise fisting, and no data were available for 9 (20.5%) individuals. 11 (25.0%) admitted using drugs during sexual activity ('chem sex'), 25 (56.8%) denied sexual drug use, and no data were available for 8 (18.2%) individuals.
2 (4.5%) individuals had sexual contact with a known HCV monoinfected partner, 13 (29.5%) with a HIV monoinfected partner and 6 (13.6%) with a HCV/HIV coinfected partner
We evaluated a population of MSM with acute hepatitis C. From January 2010 to May 2014, all cases of HCV antibody positive HIV-negative MSM were identified......We performed a retrospective review of hepatitis C testing in HIV-negative MSM attending a large urban sexual health service from January 2010 to May 2014
Acute hepatitis C infection in HIV negative men who have sex with men......in UK - 'sexual HCV transmission/risky sex & drug use behavior/low rates of screening/routine screening recommended for these risk group'.......http://www.natap.org/2014/ICAAC/ICAAC_08.htm
Triple Reinfections

Risk Factors for HCV Acquisition Among HIV-Positive MSM in Belgium......."...... In the final multivariate model (Table 1), the following variables remained significantly associated with HCV infection: douching before anal intercourse (AOR = 9.84, 95% CI: 2.26 to 42.78), fisting (AOR = 3.54, 95% CI: 1.31 to 9.57), number of HIV-positive partners (AOR = 5.51, 95% CI: 1.87 to 16.20), and a documented gonorrhoea or chlamydial infection in the year preceding the inclusion (AOR = 4.50, 95% CI: 1.11 to 18.31).......http://www.natap.org/2015/HCV/042015_01.htm
HCV Screening in HIV is Poorly Implemented, MSM don't get screened adequately, only 55% get screened again after initial screen.....Those who reported MSM or heterosexual as their risk factor for HIV transmission were less likely than IDU to ever receive surveillance HCV screening......http://www.natap.org/2014/HCV/092914_06.htm
Risky Sex and Drug Use Common in HIV-Negative MSM With Acute HCV......http://www.natap.org/2014/ICAAC/ICAAC_13.htm

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